Spencer, Judy

Spencer, Judy is an individual health care provider with primary practice located at 6027 Walnut Grove Rd Suite 307, Memphis TN 38120-2145. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Spencer, Judy can be contacted via phone (901) 681-0346.

Contact Information

Primary practice address
6027 Walnut Grove Rd Suite 307 Memphis TN 38120-2145
Phone: (901) 681-0346
Fax: (901) 682-7737
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 11723 Tennessee

Profile Details

NPI number 1912960220
LBN Legal business name Spencer, Judy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Oct 30th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912960220 NPPES
Tennessee MEDICAID 3198416
Tennessee MEDICAID 14589

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